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HomeMy WebLinkAbout0172 SPUR LANE - Health 172 SPUR LANE, MARSTONS MILLS A=011-010 4� TOWN OF BARNSTABLE LOCATION /72- ,A° 4-vi4- SEWAGE 2-0/(0 V UAGE�Ar� S /Ldsl/f ASSESSOR'S MAP&PARCEP-77- Z INSTALLER'S NAME&PHONE NO. i-Q -. 6?1jS 7-7 � 66-39', (u SEPTIC TANK CAPACITYJr/J� ®® LEACHING FACILITY: (type SVD (size) /h'L,.J`X 2. NO. OF BEDROOMS OWNER PERMIT DATE: C 2 Z,0¢ (o COMPLIANCE DATE: 9-4 6 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility '� Feet Private Water Supply Well and Leaching Facility(If any wells exist on - . site or within 200 feet of leaching facility) Av/A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 360 feet of leaching facility) Feet FURNISHED BY ' t 3S/ ~ � n g, 30 1.�J 63 No. e/� /`�� Fee ed THE COMMONWEALTH OF MASSACHUSETTS Entered in c puten"' r• Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 21ppliLation for MispoBal *pstrm Construction Permit Application for a Permit to Construct( ) Repair K, Upgrade( ) Abandon( ) ElComplete System Individual Components Location Address gr Lot No. Owner's Name,Address,and Tel.No. P2- bPusz Ly.> ► 1�lfln-slox�s I1 %LL- Assessor s Map/Parcel 11 a 07-(1400 I7p )( ller's Name,Address,and Tel.No. Des}gner's Name,Address,and Tel.No. orJ�. tZ t -r `�' AT,6-,j &Al , .t7, e,i- p,-� Sts�v�v(i ��55�, 6 q Aldo (Ck_ '5*- Type of Building: C'5a ) t i DQ(o Dwelling No.of Bedrooms Lot Size t 000 sq.ft. Garbage Grinder(F{Li Other Type of Building No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided -J i J 2— gpd Plan Date D/ � L L, Number of sheets �., Revision Date Title �f'Tl�' z PAi2 Ili [_tzb �J pr; 172— 'Seu Lq== LA Size of Septic Tank , Wo epr- _- Type of S.A.S. Description of Soil �� Nature of Repairs or Alterations(Answer when applicable) JtL9, 1A-Yt. (4, Q.- 14�Lt I-eA G. i C orl. p yn2G9,j 1 C��-►�-t J'c�vr�o✓�d ee( ski c�' J-7®� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Boar ealth. / Q Sign Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. /lp `r Date Issued ' �,No., �'/ `� ✓� Fee 44 THE COMMONWEALTH OF MASSACHUSETTS Entered in c mput�_�//, PUBLIC HEALTH DIVISION - TOWN dOF BARNSTABLE, MASSACHUSETTS Yes 9pplicatiou for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(�O Upgrade( ) Abandon.( )' ❑Complete System Individual Components s Y Location Address or Lot No. \\ µ wrier's Name,Address,and Tel.No. j Assessors Map/Parcel OZ(, lG G`t t_ >� I staller's Name,Address,and Tel.No. Des gner's Name,Address,and Tel.No. D k C'1 4,4c,,jfC.l,, S F2-900 0• Gox�a 2g ,tt�_r_ N1 • bl� Type of Building: 15pe)4 I Dwelling ' No.of Bedrooms Lot Size 000 sq.ft. Garbage Grinder(N d Other Type of Building No.of Persons Showers( ) Cafeteria( ) i Other Fixtures Design Flow(min.required) `�j� gpd Design flow provided �J ti7�. gpd Plan Date I D/u& /t(_. Number of sheets 22, Revision Date Title je��1C �4—d?a)� 1�La>j LIr���K 7 L�� �� - �­VtZ_ �-� Size of Septic Tank : wo 6,*-t..-_\, Type of S.A.S. 'Z G A Ld_() I bi ELLS Description of Soil _ Nature of Repairs or Alterations(Answer when applicable) 16i it/4 0 t XR P l l ta_ f-u r LC -(fit:,c_(n A / 7 (�t J'�t 2- 1 �'DD CAI !/0✓1 D✓�Pt.�S 7 CLt/ -I 6�0`� fL.1'-✓'0✓'7'(ed L✓ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board-otHealth. Signed _ � �, . Date , " Application Approved by "'� Date Application Disapproved by Date for the following reasons Permit No. L)55 Date Issued ----------------------------------------------------------------------------------------------=---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Comptiance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(X) Upgraded( ) Abandoned( )by B/e�j //_S _. at 1-7 2- LA�— �AA P-57`tpr�S E ly has been constructed in accordance J with the provisions of Title 5 and the for Disposal System Construction Permit No. j/6 y-5iated Installer L.�✓PT/ !f!3 Designer M - A // 4 S S a G #bedrooms Approved design flow /���b gpd The issuance of thi pe it shall not be construed as a guarantee that the system will function,as designed K Date I Inspector / uv- --------------------------------------------------------------------------------------------------------------------------------------- No. 7 _53 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstrm Construction Permit Permission is hereby granted to Construct( ) Repair(X) Upgrade( ) Abandon 1, ( ) System located at SPoa— �-FQ- t W5tT, 1a2 ICI I LI 5 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this d erm' it. Date ' (� Approve Town of Barnstable Regulgtory Services o� i Richard V.Scali,Interim Director MAM snaxsrt►s�.�. Public Health Division ses� �• 59. Thomas McKean,Director 200 Main Street,Hyannis;,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer.Certification Form Date: I a 2-6 Sewage Permit# 2-61 b —�SSAssessor's Map\Parcel 27Z Lq2_ Designer: awa) Installer: Address: d r / Address: ?�ok w ( r; On 2'Za tJ✓��/� t'f-S was issued a permit to install a (date) (installer) septic system at 'SAIr. zly based on a design drawn by (add re s) dated (designer) I certify that the septic system referenced above.was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Strip out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major changes (i.e. greater:than 10'. lateral relocation,of the SAS or any vertical_ relocation of any component of the septic system) but in:accordance with State.& Local Regulations. Plan revision or certified as-built by designer to follow.. Strip out(if required)was inspected and the soils were found satisfactory. I certify that the system referenced above was constructed in compliance with the terms of the 11A approval letters(if applicable) �of c DAVlD ( stall,er's Signature) FlxiHER '�,JR. No. 1 1 ��f'7S76R�� (Design s Signa ure) (Affix De`sj fig Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF .COMPLIANCE WILL NOT BE` ISSUED UNTIL BOTH Tffi5_FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. .THANK YOU. Q6\Septi6lDesigner Certification Form Rev 8-14-13.doe • � is Town of Barnstable P# ''�'°`b►'� Departlent of Regulatory Services s 'a Public Health Division Date MA93 • � ie3g �� 200 Main Street.Hyannis MA 02601 p�fD AA1K� . Date Scheduled_ _ Time [ Fee Pd._ d cc)i a Soil Suitability_A essment for Se p4 Performed By:d ' ` . Witnessed LOCATION&.GENERAL INFORMATION Location Address 7.L. S Owner's Name t �n flg � / ddress \ZZD Assessor's Map/Parcel: f O l +'hEngin er's,(N_am^e��P� t� 11G Y �J O0�A tJ--- �5 4Z4 1 NEW CONSTRUCTION REPAIR Telephone 1k 2 — Land Use //1f/S. tR Slopes(96) Z(y Surface Stones Distances from: Open Water Body !q ft Possible Wet•Area-!(�//{ ft DrinkingWaterWell 6-"�1Y/�B/ • Draihage Way � ft Property Unti_Zo� ft Other SKETCH:(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands in proximity to holes) / ?/ Rd 914 V I d3S Y Parent material )(geolo is �� "" � g � Depth to Bedrock— Depth to Oroudwater. Standing Water in Hole: ! "e Weeping from Pit Face ��LQ Estimated Seasonal High Oroundwater DETERMINATION FOR SEASONAL'HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: L In. Depth to sell mottles: U�22 In. De'th weeping from side of o s.hole: &0= I In, ©roundwater djustment l0 Index Well-0 Reading Date: Index Well level Adl.tttetar Adj.Groundwater Leval,, PERCOLATION TEST b#te 14 3 r4 Thn e �rwti Observation Hole# / Time at 9" tl Depth of Pero :Y;zb-r. Time at 6" Start Pre-soak Time �l �j/ 71me(9"4") End Pre-soak Rate Min./Inch Site Suitability Assessment: Sita Passed Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back----- ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conseirvation Division at least one(1)week prior to beginning. Q:\SEPTICIPERCFORM.DOC �� Vs DEEP-OBSERVATION HOLE LOG Hole# Depth from Soli Horizon Soil Texture Sdil Color Soil• Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. Consistency,%'Gravel) ZD d�� -� •ev cr�� ire 1 DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. gnsistency. of t.o � !9I—v1 vn v4Kw< } ! DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(In.) (USDA) (Muuaell) Mottling (Structure,Stones,Boulders._ Consistency. • 6 " DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,S4o0es;Boulders, Consistency, Ommel) t :l " ir .3 Flood Insurance Rate Map: Above 500 year flood boundary No— Yes—Z. Within 500 year boundary No Yes,;.,r Within 100 year flood boundary No. Yes _ Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pery ou mtiterial exist in all areas observed throughout the area proposed for the soil absorption system? Q If not,what is the depth of naturally occurring pe ious material? Certification r I certify that.onAPk'/ • — (date)I have passed the soil evaluator examination approved by the Department of Envlronmental Protection and bat the above analysis was performed by me consistent with . the required tra ertise d ex a described in 10 CN M 15.017. Signatur 7 ( �$ Date Q:1S,BPTICWBRCFORM.DOC APPL . A`1'1 N FOR PERkLOLA`1'1.ON TES' AND OBSI i2VA l COI, I'11'S LOCATION � Y_� F,711 No. --31& VILLAGE DATE APPLICANT FEE 4 . ADDRESS TELEPHONE NO. (Non-refundable ENGINEER C-'G TELEPHONE NO. DATE SCHEDULED 2 (Applicant' s signature) • • . • • • • • • . 600 . • • • • • • • • • • . O • . • • • . • • • • • • . SOIL LOG _j] d�) SUB-DIVISION NAME DATE nfl[ ,-f1'� '� D"I TIME EXPANSION AREA: YES NO <X1 S G rn ENGINEER TOWN WATERING PRIVATE WELL 'BOARD OF HEALTH kyro EXCAVATOR SKETCH: (Street' 'name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: �0� .. S.Pv-z LAB ,PERCOLATION RATE !TEST HOLE NO: ( ELEVATION: TEST HOLE NO: 2— ELEVATION: b so r I1 .2 " 2 ? ; 3 3 4 4 5 5 vb TP 9 (/ 9 10 10 11 ' : 12 12 13 KJ4- 13 14 14 15 15 16 16 SUITABLE FOR SUB—SURFACE 'SEWAGE: . LEACHING FIELD LEACHING PITS „ LEACHING TRENCHES UNSUITABLE. FOR S.UB—' SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P. E. AND RETURNED TO 'BOARD OF HEALTH .COPY: RETAINED BY APPLICANT L,.O CATION / 1 EW A G E PERMIT NO. VILLAGE- 1 N l4HA� B.IA�I�'d,BACKM AJIERVl A D D R E S S 0 Walnut Street ee am " S.UILDER OR OWNER zr -A; DATE PERMIT ISSUED _�;�.._ y�y ®DATE COMPLIANCE ISSUED -� �, �� r - / ,� �_ �� \ /. ` \ - � �. V= � � �. 61�% _ � 'n� = � nve � � � �� >_ fY .'�4 t ,. ® �, Q' s r Fizz s...... + XFM I ... .. r. iz THE COMMONWEALTH OF MASSACHUSETTS � tC ROGER BOAR® OF HEALTH PAUL N v MICHNIEWICZ Town ...-OF..............................................Brnstable •30420 co ..--------- -- -- ------------. ..------•---------------------......_.....•. C19IL �O Allp irFation for Rspwial World Towitrnr#inn Ila Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Dis sal,f/� y, System at: Debbie' s Lane Lot 37 ..................-................ ..... ..... ...................... .........-••••---•---.....----•---...--•-•-•-•------._......---------------------•---•--......... ocation-Address or Lot 1�f,�i .'.!)-• .� .............................................. --- �9�- ....l�a'�/ Owner Address W �0 .. rW Installer Address 20 ,000 d Type of Building Size Lot....__ Sq. feet �U, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (nc aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 ' Other fixtures .......................................................------;--- -- 330 W Design Flow.. .................. per person per day:. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity_.10..�allons Length 8.__6___.___ Width_4 10 Diameter________________ Depth....5.'.4".. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------L.......... Diameter----12.......... Depth below inlet... Total leaching area....1-9.4------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed byC-ape...Clad_.Eurvlry7...Corisul ntsDate....•.- ............ Test Pit No. 1----------2----minutes per inch Depth of Test Pit....12'...._._. Depth to ground water---non.e.......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ..........-•--••-----------------•...---••----•----.._.:_....-•---•---•••----•-•---••-.........--•-......................................................... O Description of Soil------TP#_1......Q.-24..••..Laam.&---aubs il..R..._2- '�_-14A...- ...5.andy......................................... U ------------------------- s1�7 7•. W ••--•-••---•----------------•.._........•--••.........---•-----------•••-•........-•-••••-------•••-------------------------------••-------•--•....•••••••••-••-••••----•--............................ UNature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of h th. Signed --•---•-•--•-•--- ............ ~of.-�� D to Application Approved By............. L-------------------------------------------------------------••--••--•--- ......... �•-1�'- �y Date Application Disapproved for the following reasons-------------------------------------•------------...------------------------------------------------------•----- ..••-••-••-•----•••-•---....••--•------•••-•-•--.....--•---.......--••-••--•-•••--•----•-----•---•-•--•---------------------------------------------------------------- ............................... Date Permit No...... y.:.. r, _ Date No..P:3.116_.:.. •.. -r - - • FEs.. ��ytw OF,y . . ............ 9 'I ROGER G THE COMMONWEALTH OF MASSACHUSETTS MICHN PAOL WICZ BOAR® OF HEALTH N0.30420 Tav�n IVI ................OF.....-....Barnstable ., .-:......__ ? ,... Avv traftnn, lar Diavniial Works Tomitrurtinn Frr Application is hereby made for a Permit to Construct X or Repair, an Individual Sewage Dip osa PP Y ( ) ( ) g P �I. System at: .................................Debbie' Land..... ..... Lot �37 d.- ............................._............ Location-Address or Lot No. ......................—.......................................................................... ..........--..................................................................................... Owner Address ---- Ins ta �JJ ller Address •------------------------- - 20- �1Jo Type of Building Size Lot..........______ ...---------Sq. feet U Dwelling—No. of Bedrooms................_ .........................Expansion Attic Garbage Grinder (hp ' p., Other—Type of Building ____________________________ No. of persons__________________________:_ Showers ( ) — Cafeteria ( ) a Other fixt s ..._.._._.._ W Design Flow.................._ ........ 0gallons per perso F ,play. •Total d� y ........................................gallons. TOUGd Septic Tank-Liquid squid capacity _._gallons Length________________ Width_______--�_ _:� Diameter-------------_Depth.... Disposal Trench '�?a �_._ t''. 'Width___ _______________ Total Length_____._...__.___.___ Total leaching area--------------------sq. ft. 3 Seepage Pit No _ Diameter----12__-------- Depth below inlet___�.•_U!--- Total leaching area....19.4_.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by0a�e Cod.•SuxVey-__ Oxtsnit Az1t9Date_______ /ZZl$ _____________ a Test Pit No. I.........Z----minutes per inch Depth of Test ,.__. Depth to ground water---;Agne......... Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... ,Depth to ground water_____________________:__ Ix ---------------- .......................................................................... .:.---------------------------------------------------------- 0 Description of Soil......TP�2 0-24" loam & SUbS©il;---2,4"_-�_la4_"=__s.Anay-------. . _ ------------------•-- x gravel 4 . U -•...----•--•.._---•---•-•-.__._-•---- ---------•---•--•-----------••-•------••-----•--•--•-_•-•-- _ • --- --- ----- --•---•-•----------------•---•-----•-•-•-•••-•- W U N�ture of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ w Agreement: ' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with (-1T 1't1'I^ - the provisions of :T r `}of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. _po Signed._ i. ..-•------ -4- ------- Application Approved B (d'-- _ tom------ G ��e i✓ Date Application Disapproved for the 111-:ing reasons--------------•---------....................................................------------------•••-------------- Date '?G Permit No.. ..` Issued. - ------------------- ------ Date T4E'"COMMONWEALTH OF MASSACHUSETTS t BOARD 9F HEALTH ..........................................OF.....................................11............................................. r P Qwrrfifiratr of fP ompli aurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) Installer at------------------------------------------------------------------------------------------------------ ---------------------------------------------------------------------------------••------------ has been installed in accordance,with the provisions of ffUITI f The ,State Sanitary Code as described in the application for Disposal Works'Construction Permit NO_____________________`---___-__h'_______ dated__. -__• ,__. _q--�--r- -------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. r , DATEInspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 71 ...........................................OF..-----.- ..... .... -. No.--•-•-••--•••-•-•-----_. FEE........................ Permission is hereby granted........... -!rx rG,ts�hG. / i G --•-•-- --------------------- to Construct ( � ) or Repair ) an Individual Sewage Disposal System G G T e 7�h/F..S .G /--� ems" - . <Lr fe e-S atNo.............................. ......................... �I Street as shown on the application fora Disposal Work Permit ted________ ............................... --------------•-•••-----••-- ---- -------=-------------------------------------------•--------------- r �' DAT.. --- Board of Health E..... Z- - FORM 1255 HOBBS & WARREN. INC.,-PUBLISHERS ASSESSORS MAP NO* p PARCEL NO: _.0= Fee4 - �-t-�--- BOARD OF HEALTH TOWN OF BARNSTABLE Y 0(pp[ication-*rVell Con5tructionA3ermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (Plan individual Well at: Location — Address Assessors Map and Parcel — /� "--/C Z Z3- - - - ----- --- -------------------------------------- Owner Address //// t� ,Box 06a _�,o =L,25d- �^ t — —/�t�t ---- -------- Installer — Driller Address Type of Building Dwelling_ ous t------------------------------------------- Other - Type of Building------------------------------ No. of Persons------------------------------- -- Type of Well V i',p()L _--- ------ --- Capacity---------------------- - - -- -— Purpose of Well--00^-9%i __s,�, r - Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a CerY Cate .of Compliance has been issued by the Board of Health. Signed —------- --- -$Lit/zn------- date Application Approved - --------- date GG^1a/L� Application Disapproved for the following reasons:---------------------------------------------- ---------------------------------------- / date Permit No. ----- -- ------ Issued----�----i`�---�-1--'-�� ------- date BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CER IFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (� 09sC�,�/ by ---------- 1----------------------------------------------------------------- -- Installer has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction Per o;—?AV 4}`-Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----------- - Inspector------------- —------- �a I NO.-C-'x--'_'- �Jvl/� Fee-- --- BOARD OF HEALTH TOWN OF BARNSTABLE f es Application-*rVell Con0ruetionVermit Application is hereby made for a permit to Construct ( ), Alter ( ), or Repair (�n individual Well at: IAcatf6n Address 4w i 4Assessors Map;and',Parcel e' F -- ----------------- Owner Address �0.40/ 1� a j( /.0 ofG % I - - ------------------ - f --- Installer — Driller I Address ; Type of Building G 1/o u i{ Dwelling-- -------------------------------------------------- � Other - Type of Building No. of Pe sons--------------------------- L/yP g ---- -- — --- ' Pup ose ofe of Well Do�LrJ�ii `-' �rr— -------- Capacity--- - - - ---- Purpose - Agreement: / The undersigned agrees to install the aforedescribed individual well in accordance with the provisions The�, 1 Town t f Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees n t to place'the well in operation until a Cert•Ycate .of Compliance has been issued by the Board of Health. I Signed - —------- --- -$ �,/��------- date APPllcation Approved -1 date Application Disapproved for the following reasons: ------------------------------------------_____ date Permit No. -��!� y7 -7 --- Issued--- �� �'�- - date awy..y4��A*ysy4rld_ilb!to4G!�!ibbq�Ti!llwP..4?i4i9ieiBoM34F_r11o?e4i4bPi464i4ijTo4ir4a.4ili4fi4ilGsilY:le4r4�4i4i9i@64i43sepi4e.Vu4y0ylJy4iPlpgie�yNapwy43i1r�i4il�i4iV.L4w4w4b�i}i744i1e BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired (� 'A S�U..�> -------- Installer at -1i—L"' -4,-' Ail has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection Regulation as described in the application for Well Construction PercA"o"_4 s Dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------- --- -- Inspector---- -— -- ---- —------ 4Za 25b?i!4':1Y4WUa*fa7iKi04iarataM+fn4i�1oea4'i4aMCcliTS446MiTi4r4eAMi4r4�TbTiV�9a4NT 4evier4r4Gsbll4?li4asa4aliWA8969s4v:�Pi�ierTi•1a9�?44 ree�Ao..a�i•�u`r„GPY�i4►eo!M@Y9e4i�8�YFr4 BOARD OF HEALTH TOWN OF BARNSTABLE Well Construct ion erntit No.� � �=-�'t�'' Fee Permission is hereby granted /D A SSc G N V'J to .Construct ( ), Alter ( ), or Repair an Individual Well at: -------------------------- Street as shown on the application for a Well Construction Permit No.- �—� - Dated- Board of Health DATE �-�a -� sP� f 1. � ---� MARSTO+NS `MILLS LOT 36 (TOWN WATER) v 126.25 S85°2910 SHED PUMP, SANDFILL -AND o II LOT 37 ABANDON LEACH,-,PIT wAKEBY RD AREA=20 000± S.F. 1 OAK \ PER TITLE '5 -9 \ Sy = w �,��% 1� #' \ LOCUS TOP OF TANK F i N EL=68.48 \\ 172 SPUR LANE e _ / U, LOT 48 N O o. c, •:.;�:�:.. ••..•.;. \ U► (TOWN WATER) � OAK o LOCUS MAP 00,co w , �\ � N LOCUS INFORMATION ( D Np �� \ PLAN*REF: 272/92 TITLE REF: 11612/232 m Ln OAK \ PARCEL ID: MAP 11 PAR. 10 �O - - m - - - ��, • 1t ZONING: RF" SETBACKS. 30I.FRONT /15I.SIDES & REAR - - _ v 4 P H Il (J� _ '_ _ ,� �Sl o \ WITHIN ZONE II GP DISTRICT WIND EXPOS: B _ _ _ �tiO �Q • FLOOD ZONE: "X" W O FiQ O 37.8' \ COMMUNITY PANEL: 25001CO537J DATED:07 16 14 �— `\ �__ __ -�cp�c Or�S O BENCHMARK: D 32,9' __ #172 =_FS �\ COR. OF BLHD. SEPTIC REPAIR PLAN 00 Ln EL=69.0 Z w \\ / __ TOF=69.66 _ _ ��' \ LOCATED AT: m A = _ 172 SPUR LANE `� 41p��A \� Ln - - - - - - - - - - , MARSTONS MILLS, MA. PREPARED FOR y\ 47.7'�\ RICHARD & EILEEN IN, 00' - ► RIZZO oz�'� \\ c��9 \ i OCTOBER 25, 2016 SNOF Mqs o \ 3 I o EDWARD s \ \ 39 / Z i A. 40.9 .7 STON H PI . 12 1 J No. a ISTE m `ems, t� a�ANTA +P 70 107.34 by� • Surveying.MacDou all _ . . g Y g U:R LANE. _ .` 1 • 8c Associates . SP GRAPHIC SCALE P. O. Box 2428 zo . o 10 20 80 Mashpee,- Ma. 02649 PH. fax �508�4119-11086 508419 , 1087 emgll: ( IN FEET) macdougalIsurvey@comcast.net 1 inch 20 ft. SHEET 1 OF 1 - J 1816 TOP OF FOUNDATION EL= 69.66' 4" SCHEDULE 40 P.V.C. PROFILE OF 2" LAYER OF MIN. PITCH 1/8" PER FOOT' SEWAGE DISPOSAL SYSTEM DOUBLE WASHED STONE 10' MINIMUM Now (NO LE) OR FABRIC EL= 69.0' EL= 69.0' __ T ro SCALE) FILTER ,,,,,,,,.,,,,,.,,. E _ L 69.0' EL- 6 MAX,,,,,,,,,,,,,,,,,,, ,..,,, 69.0 - .. " EL- 69.0 .,... ... .............. ::\\:::aa:::\\.,, �6" MAX. ::\\\:\\C:. . NO RISER NEEDED ,. ,,,,,,,,,,,;; ::::;:;;:;;;:;;:;;:: ;;,e;;: 4" SCHEDULE 40 P.V.C. CONC. INVERT CLEAN SAND FILL (EXISTING) RISER & EL= 66.0 '` PER 310 CMR 15.255 9" "MIN./ = 68 LEVEL COVER 1 10' S=.04 /19-0, s= .04 FORS � - 36 MAX. EXIST. FLOW LINE =01 EL= 66.75 INVERT 110" INVERT INVERT o 0 0 0 Vlob o INVERT 14 INVERT p p 0 0 0 p 0 mo 0EL=67.66' MIN. EL= 67.15 EL= 66.2T 6 SUMP EL=66.1' » o0pp o EXIST. 4' ADD 24 0 0 O 0 C�C� C� O C�O C] 0 o ocP INVERT BAFFLE 8" BASE OF MECHANICALLY �p p o oo ' COMPACTED SAND OCb oCb EL= 64.0 PROP. DB3 DISTRIBUTION 4.0 8.5' 4;0' BOX(H-20) (TYP.) .� EXISTING 3/4" TO 1-1/2" '25' > .. DOUBLE WASHED STONE 2-500.,GAL. H-20 DRY WELLS 5' X 8'-6'' X 3'-1" 1 ,000 .GALLON TANK ( ) ( ) (TO REMAIN) SOIL ABSORBTION (TRENCH FORMATION) SYSTEM (S.A.S.) 13' X 25 N Lo GENERAL NOTES I CERTIFY THAT I AM CURRENTLY APPROVED BY THE DEPARTMENT OF BOTTOM OF TEST HOLE #1 ELEV.= 57.8 111 ENVIRONMENTAL PROTECTION PURSUANT TO 310 CMR 15.017 TO CONDUCT (NO GROUND WATER SOIL EVALUATIONS AND THAT THE ABOVE ANALYSIS HAS BEEN PERFORMED 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. BY ME CONSISTENT WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE TITLE 5 AND THE TOWN OF BARNSTABLE RULES AND REGULATIONS DESCRIBED IN 310 CMR 15.017. 1 FURTHER -CERTIFY THAT THE RESULTS OF MY DESIGN DATA ACCESSIBLE WITHIN 6'' OF FINISH GRADE, WITH ANY REMAINING FOR SUBSURFACE DISPOSAL OF SEWERAGE. SOIL EVALUATION, AS INDICATED ON THE ATTACHED SOIL EVALUATION FORM, 2. ALL ACCESS PORTS OVER TANK TEES SHALL BE ARE ACCURATE AND IN ACCORDANCE WITH 310 CMR 15.100 THROUGH 15.107. ACCESS PORTS BROUGHT TO WITHIN 12" OF FINISH GRADE. - NUMBER OF BEDROOMS......... 3-- 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE GARBAGE DISPOSAL.................-__NO _ CAPABLE OF WITHSTANDING H-10 LOADING UNLESS THEY ARE EDWARD A. STONE, PLS, CERTIFIED SOIL EVALUATOR - UNDER OR WITHIN 10' OF DRIVES OR PARKING AREAS THEN THEY TOTAL ESTIMATED FLOW MUST WITHSTAND H-20 LOADING. (110 GAL./BR./DAY X 2 BR.) __330 4. THE EXCAVATION CONTRACTOR SHALL VERIFY THE LOCATION TEST PIT RESULTS: P 15171 330GPD X 200% =` 660 GAL OF ALL UTILITIES PRIOR r0 ANY EXCAVATION. 5. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE USE EXISTING 1000 GAL. SEPTIC TANK OR WITHIN 6" OF GRADE SHALL BE MORTARED IN PLACE. SOIL TEST DATE: OCTOBER 3, 2016 6. FINISH GRADE SHALL HAVE A MINIMUM OF 2% GRADE INSTALL: 2-500 GAL. DRY WELLS (W/4 CRUSHED STONE OVER THE S.A.S. AND DISTRIBUTION BOX. B.O.H. AGENT: DAVID W. STANTON, R.S. ON THE: SIDES, 4' ON THE ENDS) AND BACKFILL 7. SEPTIC TANK SANITARY TEES SHALL BE CONSTRUCTED OF SOIL EVALUATOR: EDWARD A. STONE, PLS SCHEDULE 40 PVC AND SHALL EXTEND A MINIMUM OF 6 ABOVE WITH CLEAN SAND FILL PER 310 CMR 15.255 THE FLOW LINE AND SHALL BE ON THE CENTERLINE AND BACKHOE: DONE RIGHT EXCAVATION LOCATED DIRECTLY UNDER THE CLEANOUT MANHOLES. SOIL CLASSIFICATION................-- 8. THE INLET'PIPE INVERT ELEVATION SHALL BE NO LESS THAN DESIGN PERCOLATION RATE..... <2._I.d.,/JN. 2 INCHES NOR MORE THAN 3 INCHES ABOVE THE INVERT ELEVATION OF THE OUTLET PIPE. EFFLUENT LOADING RATE..... 74 » . 330 GAIDAY 9. THE SEP11C TANK SHALL HAVE A MINIMUM COVER OF 9 INCHES. TH#1 EL.= 70.0 (PERC<2 MPI) AT 48 BOTTOM REQUIRED LEACHING CAPACITY. ---- 10. THE OUTLET SANITARY"TEE SHALL BE EQUIPPED WITH A GAS ELEV. DEPTH IN. HORIZON TEXTURE COLOR MOTTLING OTHER LEACHING CAPACITY PROVIDED.....352,GAL/DAY BAFFLE, 4 INCHES IN DIAMETER AND CONTRUCTED OF 4, PVC: 11, ALL PIPES SHALL BE SCHEDULE 40 PVC SEWER PIPE AND 6915 O"-6" A LOAMY SAND 10YR4/3 51DEWALL,(13" + 25')x2x(2 SIDES)(,74)= 112 GAL/DAY FIRST TWO FEET OUT OF THE DISTRIBUTION BOX SHALL 68.3 6"-20" B COARSE SAND 7.5YR5 6 N A 10%GR BOTTOM: ' X ��' 74)= 240 GAL DAY BE LEVEL. / / ` �' / 12. CHANGES OR REVISIONS TO SEPTIC DESIGN REQUIRE NOTIFICATION 59.5 20"-126 C COARSE SAND 2.5Y7/6 N/A 5%GR TOTAL= 352 GAL/DAY.. TO MACDOUGALL SURVEYING & ASSOCIATES FOR B.O.H. AND DESIGN ENGINEERS REVIEW AND APPROVAL. PERC 13. PROPOSED SEPTIC SYSTEM Is WITHIN STATE APPROVED ZONE q NO GROUNDWATER ENCOUNTERED/NO MOTTLES 352 GPD PROVIDED - 330 GPD REQUIRED 22 .GPD RESERVE ` �N OF CONSTRUCTION NOTES: TH#2 EL. 6'8.3 �� �s� OF Af 1. CONTRACTORS INSTALLERS SHALL VERIFY GRADES AND D ��� ��y SEPTIC SYSTEM DETAIL. PAGE / ELEV. DEPTH (IN. HORIZON TEXTURE COLOR MOTTLING OTHER . EDWARD o� ELEVATIONS AND SITE CONDITIONS PRIOR TO COMMENCING a� #172 SPUR LANE WORK ON THE SITE. 68.0 0:-4' A LOAMY SAND 10YR4 3 o A. 2. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE 66.8 4"-18" IS COARSE SAND 7.5YR5 6 N/A 10%GR STONE MARSTONS MILLS, MA. WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANTF � 0 8 IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY, 57.8 18 -126 C COARSE SAND 2.5Y7/6 N/A 57.GR ®�>aT '00� OCTOBER 25, 2016 5 lot 3. ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING NO GROUNDWATER ENCOUNTERED/NO MOTTLES 1'�lT9S► s op ppp SJ�, {A TAPE OR A COMPARABLE MEANS. f O is �6 C)?�, SHEET 2 OF 2 J# 1816 NOTES: 24'-0" 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS & DIMENSIONS IN THE FIELD 5'-0" 7'-4" 3'-5" 3'-5" 4'-10" 2.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, DETAILS, & FINISHES IN THE FIELD WITH OWNER NEW 3'6" x 60" 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT PLATFORM FIRST FLOOR TO BE 6-10 1/2" ABOVE SUBFLOOR RE -USE T-2" x 4'9" T-2" x 4'9" T-2" x 4'9" EXIST. DOUBLEHUN DOUBLEHUNG DOUBLEHUNG 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS DOOR WINDOW IWINDOW WINDOW STATE BUILDING CODE, 8TH EDITION AMENDEMENT & IRC2009 5.) 110 MPH EXPOSURE B WIND ZONE A 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, 3 OR HORIZONTALLY W/ BLOCKING AT EDGES, 3"EDGE/12" FIELD NAILING T-2"x4'9" 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD WINDOW DOUBLEHUNG NEW 8.) SEE CERTIFIED PLOT PLAN FOR ALL PROPOSED & EXISTING DETAILS FAMILY 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF M x ROOM ALL SIMPSON COMPONENTS E - DO DOUBLEHUNG m WINDOW (VAULTED CEILING) 10.) ALL CONCRETE USED FOR FOUNDATION WALLS, FOOTINGS & SLABS TO BE 3000 PSI Lo DN. T-2" x 4'9" 11.) VERIFY ALL PLUMBING & ELECTRICAL DETAILS W/ OWNERS ON THE SITE DOUBLEHUNG DURING FRAMING CONSTRUCTION WINDOW 12.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO. 2 GRADE 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED 14.) FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY EFFICIENCY REQUIREMENTS & VERIFY ALL DETAILS WITH THE INSULATION INSTALLER/CONTRACTOR. 15.)ALL HEADERS TO BE 3- 2 x 8's UNLESS OTHERWISE NOTED NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE JOINT DESCRIPTION NO. OF COMMON NAILS NO. OF BOX NAILS NAIL SPACING ROOF FRAMING: BLOCKING TO RAFTER (TOE NAILED) 2- 8d 2- 10d EACH END RIM BOARD TO RAFTER (END NAILED) 2-16 d 3-16d EACH END WALL FRAMING: TOP PLATES AT INTERSECTIONS (FACE NAILED) 4-16d 5-16d AT JOINTS STUD TO STUD (FACE NAILED) 2-16 d 2-16d 24" D.C. HEADER TO HEADER (FACE NAILED) 16d 16d 16" o.c. ALONG EDGES FLOOR FRAMING: JOIST TO SILL, TOP PLATE OR GIRDER (TOE NAILED) 4-8d 4-1 Od PER JOIST BLOCKING TO JOISTS (TOE NAILED) 2-8d 2-1 Od EACH END BLOCKING TO SILL OR TOP PLATE (TOE NAILED) 3-16d 4-16d EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER (FACE NAILED) 3-16d 4-16d EACH JOIST JOIST ON LEDGER TO BEAM (TOE NAILED) 3-8d 3-1 Od PER JOIST BAND JOIST TO JOIST (END NAILED) 3-16d 4-16d PER JOIST BAND JOIST TO SILL OR TOP PLATE (TOE NAILEDO 2-16 d 3- 16d PER FOOT ROOF SHEATHING: WOOD STRUCTURAL PANELS (PLYWOOD) RAFTERS OR TRUSSES SPACED UP TO 16" o.c. 8d 10d 6" EDGE/6" FIELD RAFTERS OR TRUSSES SPACED OVER 16" o.c. 8d 10d 4" EDGE/4" FIELD GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d 10d 6" EDGE/6" FIELD GABLE END WALL RAKE OR RAKE TRUSS 8d 10d 6" EDGE/6" FIELD W/ STRUCTURAL OUTLOOKERS GABLE END WALL RAKE OR RAKE TRUSS W/ LOOKOUT BLOCKS 8d 10d 4" EDGE/4" FIELD CEILING SHEATHING: GYPSUM WALLBOARD 5d COOLERS --- 7" EDGE/10" FIELD WALL SHEATHING: WOOD STRUCTURAL PANELS (PLYWOOD) STUDS SPACED UP TO 24" o.c. 8d 10d 3" EDGE/12" FIELD 1/2" & 25/32" FIBERBOARD PANELS 8d ---- 3" EDGE/6" FIELD 1/2" GYPSUM WALLBOARD 5d COOLERS --- 7" EDGE/10" FIELD FLOOR SHEATHING: WOOD STRUCTURAL PANELS (PLYWOOD) 1" OR LESS THICKNESS 8d 10d 6" EDGE/12" FIELD GREATER THAN 1" THICKNESS 10d 16d 6" EDGE/6" FIELD �r EXIST. HOUSE FIRST FLOOR PLAN_ LEGEND: 0 EXISTING WALLS - CONSTRUCTION TO BE REMOVED IIIIIIIIIN NEW CONSTRUCTION IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS CLIMATE ZONE 51(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402. 1. i (NINIMUIM PRESCRIPTIVE INSULATION & FENESTRATION REQUIREMENTS) FENESTRATION U-FACTOR SKYLaHT U-ROTOR CEILING R-VALUE WOOD FRAMED WALL R-VALUE FLOOR R-VALUE BASEMENT WALL R-VALUE BASEMENT SLAB R-VALUE CRAWL SPACE WALL R-VALUE 0.32 0.6" 49 20 30 15/19 10 (2 FT. DEEP) 10/13 NOES: 1.R-VALUES ARE MINIMUMS & U-FACTORS ARE MAXIMUMS. ;. 15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 3. REFER TO IE(CC 2012 CHAPTER 4 FOR ALL INSULATION & ENERGY REQUIREMENTS COTUIT BAY DESIGN, LLCTHESE 43 B REWSTE R ROAD MAS H P E E , MA. 02649 PH . (508 2 74-1166 ( FAX 508) 539-9402MILLS, NEW ADDITION/REMODELING FOR■ R I ZZ O RESIDENCE 172 SPUR LANE M A R S T O N S M A THE DESIGNER SHALL BE NOTIFIED IF ANY ERRORS OMISSIONS ARE FOUND ON DRAWINGS PRIOR TO START OF CONSTRUCTION. TION. THE BUILDING CONTRACTOR WILL BE RESPONSIBLE FOR THE CONTENT IN THESE DRAWINGS IF CONSTRUCTION E COMMENCES ANY ERRORSWITHOUT OR OMISNG SIONS. DESIGNER OF ANY ERRORS OR OMISSIONS. THESE DRAWINGS ARE SOLELY FOR THE USE OF THE OWNER NOTED. ANY OTHER USE OF THESEDRAWINGSREQUIRESTHEWRITTEN CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. SCALE: 1 /4" - 1 1-0" DRAWING NO.: Al DATE 8/25/2016